Organization
PALM BEACH BOTOX
Active
Other names
Center for Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL FARHAN SIDDIQUI MD (PRESIDENT)
(561) 715-9800
Entity
Organization
Contact information
Practice address
16244 S MILITARY TRL STE 150, DELRAY BEACH, FL 33484-6505
(561) 638-8872
(561) 638-8874
Mailing address
16244 S MILITARY TRL STE 150, DELRAY BEACH, FL 33484-6505
(561) 638-8872
(561) 638-8874
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
Primary
72476
FL
Other
Enumeration date
01/10/2018
Last updated
03/17/2018
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